Individual provider Active NPI

Shondell Vanessa Hickson, APN

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1366767550
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14841 Issued in TN
Practice address
311 Landrum PL Ste 500C
Clarksville, TN 37043-6319
Phone
(931) 272-2446
Fax
(931) 266-0528
NPI assigned
Mar 31, 2010
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14841 TN Primary
Adult Health Clinical Nurse Specialist 364SA2200X 14841 TN

Addresses

Primary practice location

311 Landrum PL Ste 500C
Clarksville, TN 37043-6319

Mailing address

311 Landrum PL Ste 500C
Clarksville, TN 37043-6319
Phone (931) 272-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529000404 TN Practitioner - Nurse Practitioner 1355510926 Reassigns benefits to 1 organization
Practice locations: Clarksville, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoring Health ClinicGroup PAC ID 7416297452, 2 clinicians

Practice addresses (Care Compare)

2237 Lowes Dr W
Suite a
Clarksville, TN 37040-6891
Phone (931) 272-2446

311 Landrum PL
Clarksville, TN 37043-6319
Phone (931) 272-2446

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14841TNMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Restoring Health Clinic CurrentSince Mar 24, 2025 Accepting new patients
Advanced Diagnostic Imaging PC Past Accepting new patients

Locations

2237 Lowes Dr W
Ste A
Clarksville, TN 37040
Phone (931) 272-2446

311 Landrum Pl
Ste 500
Clarksville, TN 37043

311 Landrum Pl
Ste 500C
Clarksville, TN 37043
Phone (931) 272-2446

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11153/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1366767550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL STE 500C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "931-272-2446",
            "fax_number": "931-266-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LANDRUM PL STE 500C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436319",
            "telephone_number": "931-272-2446",
            "fax_number": "931-266-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "SHONDELL",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14841",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TN",
            "license": "14841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.